NPI | 1477626380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3432) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 951302) |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN004886 CRNA) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2009-10-06 |